SOCIOLOGY AND ANTHROPOLOGY

Background: Malaria is still a leading child killer in sub-Saharan Africa. Yet, access to prompt and effective malaria treatment, a mainstay of any malaria control strategy, is sub-optimal in many settings. Little is known about obstacles to treatment and community-effectiveness of case-management strategies. This research quantified treatment seeking behaviour and access to treatment in a highly endemic rural Tanzanian community. The aim was to provide a better understanding of obstacles to treatment access in order to develop practical and costeffective interventions.

Background Throughout Africa, the private retail sector has been recognised as an important source of antimalarial treatment, complementing formal health services. However, the quality of advice and treatment at private outlets is a widespread concern, especially with the introduction of artemisinin-based combination therapies (ACTs). As a result, ACTs are often deployed exclusively through public health facilities, potentially leading to poorer access among parts of the population. This research aimed at assessing the performance of the retail sector in rural Tanzania. Such information is urgently required to improve and broaden delivery channels for life-saving drugs. Methods During a comprehensive shop census in the districts of Kilombero and Ulanga, Tanzania, we interviewed 489 shopkeepers about their knowledge of malaria and malaria treatment. A complementary mystery shoppers study was conducted in 118 retail outlets in order to assess the vendors' drug selling practices. Both studies included drug stores as well as general shops. Results Shopkeepers in drug stores were able to name more malaria symptoms and were more knowledgeable about malaria treatment than their peers in general shops. In drug stores, 52% mentioned the correct child-dosage of sulphadoxine-pyrimethamine (SP) compared to only 3% in general shops. In drug stores, mystery shoppers were more likely to receive an appropriate treatment (OR = 9.6), but at an approximately seven times higher price. Overall, adults were more often sold an antimalarial than children (OR = 11.3). On the other hand, general shopkeepers were often ready to refer especially children to a higher level if they felt unable to manage the case. Conclusion The quality of malaria case-management in the retail sector is not satisfactory. Drug stores should be supported and empowered to provide correct malaria-treatment with drugs they are allowed to dispense. At the same time, the role of general shops as first contact points for malaria patients needs to be re-considered. Interventions to improve availability of ACTs in the retail sector are urgently required within the given legal framework.

Background Malaria control strategies emphasize the need for prompt and effective treatment of malaria episodes. To increase treatment efficacy, Tanzania changed its first-line treatment from chloroquine to sulphadoxine-pyrimethamine (SP) in 2001. The effect of this policy change on the availability of antimalarials was studied in rural south-eastern Tanzania. Methods In 2001 and 2004, the study area was searched for commercial outlets selling drugs and their stocks were recorded. Household information was obtained from the local Demographic Surveillance System. Results From 2001 to 2004, the number of general shops stocking drugs increased by 15% and the number of drug stores nearly doubled. However, the proportion of general shops stocking antimalarials dropped markedly, resulting in an almost 50% decrease of antimalarial selling outlets. This led to more households being located farther from a treatment source. In 2004, five out of 25 studied villages with a total population of 13,506 (18%) had neither a health facility, nor a shop as source of malaria treatment. Conclusion While the change to SP resulted in a higher treatment efficacy, it also led to a decreased antimalarial availability in the study area. Although there was no apparent impact on overall antimalarial use, the decline in access may have disproportionately affected the poorest and most remote groups. In view of the imminent policy change to artemisinin-based combination therapy these issues need to be addressed urgently if the benefits of this new class of antimalarials are to be extended to the whole population.

There is an emerging scholarly concern for reconstructing and engaging with diverse approaches that theorize the question of power. Scholars focusing on the Global South critically explore how power dynamics shaping forestry governances hold western colonial assumptions that erase complexities of nature-society relations. Yet, many studies have not systematically (re)conceptualized issues of knowledge-power nexus as an instrument of control and power through Foucauldian and coloniality lens in Tanzania. The review critically discusses politics and power by plotting it within environmentality and coloniality literature. It argues that postcolonial forestry governance is devoid of its colonial residue that seems to be visible in the current forestry governance regimes. It proposes an alternative critical constructivist approach that considers the role of knowledge production through which forest discourses as assemblages of power mechanisms are crucial in producing uneven social and e...

objectives To characterize availability of fever and malaria medicines within the retail sector in rural Tanzania, assess the likely public health implications, and identify opportunities for policy interventions to increase the coverage of effective treatment.

To describe geographical and dispersion patterns of men who have sex with men (MSM)-related venues in a large East African city and their associations with times, participants and venue type. Mapping of MSM sites in Dar es Salaam was carried out by community research workers who catalogued, observed and reported data on venue sites, formality, times of operation, type of participant, police or vigilante activity, length of operation and the degree to which it is known both in and outside the MSM and gay communities. There is a large and widely disseminated MSM/gay satellite cultures of at least 98 sites, which has some formal sites, but is largely informal and operates within mixed entertainment environments and at particular times (including some weekend-only locales) across the city. There is a mix of places for sexual contact, largely social venues and sex on location sites. Cruising appears to be limited to open spaces and parks, with no vehicular component and almost no interne...

Studies have shown high rates of depression among men who have sex with men (MSM) in developed countries. Studies have also shown association between depression and HIV risk among MSM. However, very little research has been done on depression among African MSM. We assessed depression and HIV risk among a sample of MSM in Tanzania. We reviewed data on 205 MSM who were recruited from two Tanzanian cities using the respondent driven sampling method. Demographic and behavioral data were collected using a structured questionnaire. HIV and sexually transmitted infections data were determined from biological tests. Depression scores were assessed using the Patient Health Questionnaire (PHQ-9). For the analysis, depression scores were dichotomized as depressed (PHQ > 4) and not depressed (PHQ ≤ 4). Bivariate and multivariable Poisson regression analyses were conducted to assess factors associated with depression. The prevalence of depression in the sample was 46.3%. The mean (±SD) age of the sample was 25 (±5) years. In bivariate analysis, depression was associated with self-identifying as gay (p = .001), being HIV positive (p < .001: <8% of MSM knew they were HIV infected) and having a high number of sexual partners in the last 6 months (p = .001). Depression was also associated with sexual (p = .007), physical (p = .003) and verbal (p < .001) abuse. In the Poisson regression analysis, depression was associated with verbal abuse (APR = 1.91, CI = 1.30-2.81). Depression rates were high among MSM in Tanzania. It is also associated with abuse, HIV and HIV risk behaviors. Thus, reducing the risk of depression may be helpful in reducing the risk of HIV among MSM in Africa. We recommend the colocation of mental health and HIV preventive services as a cost-effective means of addressing both depression and HIV risk among MSM in Africa.

Non-communicable diseases have been one among of the dangerous diseases today apart to the communicable diseases. It grows very faster/enormously and affect millions of people in the world. Historically, the non-communicable diseases emerged soon after the rise of capitalism under industrialization in Europe. And so-called the "Disease of Civilization" the diseases of lifestyle. The purpose of this paper is to debunking this myth of the causes of Non-Communicable Diseases as a product of behavior of individual, life style of the way people eats and work. This is very important, to show what are the underlying social forces, processes and relation which responsible for non-communicable diseases, and what to be done to prevent. This paper call for the system change and not for life style change in a solving the non-communicable diseases in the world today.

There are many initiatives, programs and projects based on fishing resource management and improvement of fishing communities. Indeed, all are trying to introduce new forms of fishing as way of improving the marine industry. Nonetheless, there are many things that are either missing or misrepresented in explaining marine resources, especially fishing industry management and subsequent artisanal fishermen’s livelihoods. Because such programs are incompatible and inapplicable, instead of conserving the ocean, they have implications for lives of artisanal fishers and their communities, as the activities displace them so as to access and use the ocean. The study was conducted through qualitative research approach, guided by in-depth interviews, focus group discussions, observation, and documentary review. The participants were artisanal fishers, their leaders and some government officials. The study employing the Harvey’s concept of accumulation by dispossession as a new form of accumul...

The report of field attachment will be derived from the internship undertaken by the student. It will follow the general guidelines issued by Makerere University. Notably font to use is New Times Roman, size 12, 1.5 spacing, 1inch all round margin. It will be set in chapters and sections as guided below. The report is prepared with guidance of the academic supervisor allocated to the student at the commencement of their field attachment. All Third year students shall be required to follow the regulations approved by Makerere University senate in submitting a final copy of field attachment report to the Dean, Faculty of Computing and Management Science (Dr. J.M. Ntayi) for examination. All final Field attachment reports shall be submitted by 3 rd year students, on March 15, 2012 before the commencement of exams of semester two of third year.

Previous research suggested that sex differences in personality traits are larger in prosperous, healthy, and egalitarian cultures in which women have more opportunities equal with those of men. In this article, the authors report cross-cultural findings in which this unintuitive result was replicated across samples from 55 nations (N ϭ 17,637). On responses to the Big Five Inventory, women reported higher levels of neuroticism, extraversion, agreeableness, and conscientiousness than did men across most nations. These findings converge with previous studies in which different Big Five measures and more limited samples of nations were used. Overall, higher levels of human development-including long and healthy life, equal access to knowledge and education, and economic wealth-were the main nation-level predictors of larger sex differences in personality. Changes in men's personality traits appeared to be the primary cause of sex difference variation across cultures. It is proposed that heightened levels of sexual dimorphism result from personality traits of men and women being less constrained and more able to naturally diverge in developed nations. In less fortunate social and economic conditions, innate personality differences between men and women may be attenuated.

This paper provides an assessment of the extent to which productive sector policies mainstream sustainable land management (SLM) principles and suggests how mainstreaming of these principles could be strengthened and be more effective in Kilimanjaro region. Primary data was collected using qualitative methods including in-depth interviews with key informants and focus group discussions. Key informants included government officials, SLM project staff, NGOs and representatives of communities. Secondary data was gathered from review of relevant literature including government policies, strategies, project documents and other research materials. The data collected were analysed using content analysis and synthesised to determine the extent to which the productive sector policies mainstream sustainable land management principles. Findings indicate that several relevant NRM sectors have mainstreamed SLM principles, namely improved land productivity, improved livelihood and improved ecosystems. The degree to which these policies have mainstreamed SLM principles vary from adequately, moderately, and slightly. Despite the reported degree of mainstreaming the SLM principles in sector polices several challenges undermine the process, including land scarcity, land tenure, inadequate enforcement of policies, land use conflicts, human and financial resources constraints, and climate change. Various stakeholders are involved in SLM initiatives, ranging from local communities to international organisations. The diversity of stakeholders requires well coordinated efforts so as to maximise synergies and complementarities between the various actors. Also more effort has to be done at policy level to ensure that all sector policies adequately address sustainability in natural resources management to ensure that land productivity, livelihoods and ecosystems are improved.